现代小梁切除术的主要问题是如何精心制作并培育一个能长期达到目标眼压的理想滤过泡,以及怎样使并发症减到最少。本文介绍了手术的策略,每个手术环节的注意事项,以及术后如何严密监控和细致护理,准确判断滤过泡的功能。对非穿透深层巩膜切除术提倡术中前房穿刺,强调了术后早期小梁-后弹力膜窗激光微穿刺的意义。 The main issue with modern trabeculectomy is how to crafting and nurturing an ideal bleb that will achieve the desired IOP for the long term and how to minimize complications. This article describes the strategy of surgery, the precautions of each surgical session, and how to closely monitor and care after surgery to accurately determine the function of filtering bleb. Non-penetrating deep sclerectomy advocates intraoperative anterior chamber puncture, emphasizing the significance of postoperative early trabecular-posterior elastic membrane window laser micro-puncture.